Brooks, Jennifer Ellyn

Brooks, Jennifer Ellyn is an sole proprietor health care provider with primary practice located at 1576 Airport Blvd , Pensacola FL 32504-8616. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brooks, Jennifer Ellyn can be contacted via phone (850) 478-3888.

Contact Information

Primary practice address
1576 Airport Blvd Pensacola FL 32504-8616
Phone: (850) 478-3888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2981-57 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY8972 Florida

Profile Details

NPI number 1447520374
LBN Legal business name Brooks, Jennifer Ellyn
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2012
Last updated Jul 3rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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